Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.63 / $1,352.28 / $1,352.28	Facility		$244.63	$1,352.28	$1,352.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.63 / $1,195.56 / $1,813.32	Professional		$244.63	$1,195.56	$1,813.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $504.86 / $699.44 / $3,294.62	Professional		$504.86	$699.44	$3,294.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $323.67 / $1,096.11 / $3,525.60	Facility		$323.67	$1,096.11	$3,525.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,605.65 / $3,579.84 / $10,801.34	Professional		$1,605.65	$3,579.84	$10,801.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $573.64 / $2,825.41 / $3,499.11	Facility		$573.64	$2,825.41	$3,499.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $521.10 / $2,462.87 / $3,481.42	Professional		$521.10	$2,462.87	$3,481.42
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $393.73 / $1,632.10 / $2,278.44	Professional		$393.73	$1,632.10	$2,278.44
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,471.84 / $2,404.37 / $3,740.13	Professional		$1,471.84	$2,404.37	$3,740.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $477.80 / $584.50 / $2,762.70	Professional		$477.80	$584.50	$2,762.70